机构:[1]Department of Orthopaedics, Shanghai Tenth People's Hospital Chongming Branch, School of Medicine, Tongji University, Shanghai, China.[2]Department of Dermatology, Xuzhou Municipal Hospital Affiliated with Xuzhou Medical University, Xuzhou, Jiangsu, China.[3]Department of Rheumatology and Immunology, Affiliated Municipal Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, China.[4]Department of Orthopedics, Wuxi Ninth People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, China.[5]Department of Ophthalmology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Diabetic osteoporosis is a disease that seriously affects health, and intermittent fasting is a promising dietary approach to manage diabetes. The objective of our study was to analyze the effects of intermittent fasting on diabetic osteoporosis and its possible mechanisms. Streptozotocin-induced diabetes in mice was treated by intermittent fasting. Micro-CT and Immunostaining techniques were utilized to evaluate glycogen synthesis and morphological changes in the tibia. Gut microbiota analysis involved 16S rRNA gene amplification and sequencing. Liquid chromatography-mass spectrometry was employed, and quantitative real-time PCR assessed gene expression levels. Our study found that intermittent fasting improved blood glucose levels in diabetic mice and simultaneously enhanced cancellous bone microstructure, including BMD, BV/TV, Tb.Th, and Tb.Sp, which was revised by intervention with intermittent fasting. Intermittent fasting increased Christensenellaceae Chr) flora abundance. To further validate the role of Chr in diabetic osteoporosis treated with intermittent fasting, we used a gut microbiota transplanting and elimination experiment and Chr supplementation experiment, and the result found that Chr supplementation improved bone mass and microstructure in diabetic osteoporosis mice. In addition, Christensenellaceae facilitated the release of exosomes, which promote osteoclast activity, and exosome sequencing analysis showed miR551b upregulation in Christensenellaceae-derived exosomes, and the miR551b improves bone parameters in diabetic osteoporosis mice by supplement or inhibiting miR551b experiments. In conclusion, our study highlights the role of intermittent fasting in improving osteoporosis in diabetes by regulating changes in the abundance of Chr in the gut microbiota and improving the exosomes miR551b secreted by Chr, which in turn improves osteoblast activity. These findings provide a mechanism of intermittent fasting in managing osteoporosis via the gut microbiota-bone axis, potentially leading to innovative therapeutic approaches for diabetes-mediated osteoporosis.
基金:
the Clinical Research Project of Shanghai Tenth People’s Hospital
(YNCR2C027), Sponsored by Shanghai Sailing Program (24YF2733200), Scientific research project of Shanghai
Municipal Health Commission(20244Y0084), Science and Technology Project of Science and Technology
Commission of Chongming District, Shanghai(CKY2024-23) and Research Fund of Shanghai Tongren Hospital,
Shanghai Jiaotong University School of Medicine (No: TRYJ2021JC02) and Tongren Xinxing (TRKYRC‐‐xx202215),
National Natural Science Foundation of China (Grants Nos. 82301242, 82502972), Scientific research project of
Changning District Health Commission(20234Y015), Cultivation grant for clinical and basicintegration research of Shanghai Tenth People’s Hospital(SYYYRH2025042)
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2025]版:
大类|1 区医学
小类|1 区微生物学2 区胃肠肝病学
最新[2025]版:
大类|1 区医学
小类|1 区微生物学2 区胃肠肝病学
第一作者:
第一作者机构:[1]Department of Orthopaedics, Shanghai Tenth People's Hospital Chongming Branch, School of Medicine, Tongji University, Shanghai, China.
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Guan Zhiyuan,Xiao Wenyu,Guan Zhiqiang,et al.Intermittent fasting triggers interorgan communication to improve the progression of diabetic osteoporosis[J].Gut Microbes.2025,17(1):2555619.doi:10.1080/19490976.2025.2555619.
APA:
Guan Zhiyuan,Xiao Wenyu,Guan Zhiqiang,Xiao Jin,Jin Xuehan...&Luo Liying.(2025).Intermittent fasting triggers interorgan communication to improve the progression of diabetic osteoporosis.Gut Microbes,17,(1)
MLA:
Guan Zhiyuan,et al."Intermittent fasting triggers interorgan communication to improve the progression of diabetic osteoporosis".Gut Microbes 17..1(2025):2555619